Compounding pharmacies started as small mom-and-pop stores that mixed hard-to-find medications for local doctors and their patients who had allergies, difficulty swallowing or otherwise could not take mass-produced drugs. But amid growing drug shortages in the pharmaceutical industry, some large compounders like the New England Compounding Center stepped in and expanded their business far beyond the industry’s homespun roots. It’s a transformation that regulators have not kept up with, critics and even some industry executives said.
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